Clinic Eligibility & Authorization Specialist

Job Summary

• Occupation: Eligibility & Authorization Specialist

• Specialty: Ambulatory / Rural Health Clinic

• Salary: $22.44–$35.90/hour

• Shifts: Day

• On-Call: No

• Degree Required: High school diploma or equivalent preferred

• Position Type: Full Time – 40 Hours

• Work Environment: Hospital Clinic

• Location: 93555, Ridgecrest, California, United States

• Visa Sponsorship: No

Job Description

We’re looking for Eligibility & Authorization Specialists who are passionate about ensuring smooth, supportive patient experiences across our ambulatory clinics. In this role, you’ll coordinate insurance pre-authorizations, manage eligibility documentation, and serve as a key communication bridge between patients, physicians, and insurers. You’ll help keep care accessible and compliant—especially for patients who face barriers to getting the care they need. Our ideal teammate is proactive, patient-focused, organized, and a strong communicator.

Key Responsibilities

• Complete insurance pre-authorizations and re-authorizations for ambulatory and outpatient services

• Ensure documentation of eligibility and status is complete, timely, and accessible

• Communicate efficiently with patients, clinics, insurance companies, and internal staff

• Support and educate front office staff on evolving health plan requirements

• Improve Pay for Performance (P4P) and eligibility workflows to support better patient care

• Provide front desk and registration coverage across ambulatory clinic sites when needed

• Uphold high standards of patient privacy, dignity, and service excellence

Collaborative Teamwork

This role involves working closely with care teams, front office staff, and insurance providers to ensure a smooth, collaborative workflow that puts patients first.

Qualifications

• High school graduate or equivalent preferred

• At least 3 years of experience in ambulatory medical office insurance or a related field

• Knowledge of office organization and clerical processes

• Ability to manage tasks efficiently and independently

• Proficiency with Microsoft Word and Excel

• Experience with electronic health information systems (HIS) preferred

• Hands-Only CPR certification (or ability to obtain within 2 months of hire)

• Must be able to put into practice Service Excellence skills with patients, families, and coworkers

Benefits You'll Enjoy

• Medical, Dental, Vision

• 403B with Employer Match

• Life Insurance

• Flex Spending – Health Care & Dependent Care

• Employee Assistance Program

• Gym Membership Reimbursement

• Tuition Reimbursement

• Sick and Vacation Time

Welcome To RRH

Established for over 60 years, RRH is a non-profit, DNV-accredited, full-service hospital and integrated healthcare system serving our region across a 38-acre campus. RRH includes a 25-bed acute care hospital, a 125-bed skilled nursing facility, and a comprehensive network of services supported by more than 860 employees.

Our organization operates five primary care clinics and other multi-specialty clinics, an ambulatory surgery center, ambulance services, and full-service imaging and laboratory capabilities—allowing RRH to deliver coordinated, high-quality care across the continuum. RRH received the American Medical Association’s Joy in Medicine Award in both 2023 and 2025, recognizing its commitment to healthcare worker well-being. RRH also maintains an established physician well-being program.

Our mission is to be the partner of choice for the healthcare needs of our community. Our purpose is to care for our community’s health and the well-being of those who care for them.


About Ridgecrest

Ridgecrest is a family-friendly community of 38,000 in the desert of central Southern California, far from the traffic and commotion of LA. Affordable and safe, it’s been voted as the best place to live in Kern County by Niche. Home of the China Lake Naval Air Weapons Station, it is near the Sierra Mountains and full of natural wonders, outdoor activities, and sunshine.

Our hospital is close to Mammoth Ski Area, Mount Whitney, Sequoia National Forest, and Death Valley. Learn more About Ridgecrest and the Outdoor Activities around it.